Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial.

S.A.H. Gerhards; L.E. de Graaf; L.E. Jacobs; J.L. Severens; M.J.H. Huibers; A. Arntz; H. Riper; G. Widdershoven; J.F.M. Metsemakers; S.M.A.A. Evers

doi:10.1192/bjp.bp.109.065748

Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial.

S.A.H. Gerhards^*, L.E. de Graaf, L.E. Jacobs, J.L. Severens, M.J.H. Huibers, A. Arntz, H. Riper, G. Widdershoven, J.F.M. Metsemakers, S.M.A.A. Evers

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background

Evidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236).

Aims

To assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU.

Method

Costs, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses.

Results

Costs were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT.

Conclusions

On balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.

Original language	English
Pages (from-to)	310-318
Number of pages	9
Journal	British Journal of Psychiatry
Volume	196
Issue number	4
DOIs	https://doi.org/10.1192/bjp.bp.109.065748
Publication status	Published - Apr 2010

Keywords

ANXIETY
BASE-LINE
CLINICAL EFFECTIVENESS
COST-EFFECTIVENESS ANALYSIS
DISORDER
HEALTH SURVEY
INVENTORY-II
PHARMACOTHERAPY
PREFERENCE-BASED MEASURE
PSYCHOTHERAPY

Access to Document

10.1192/bjp.bp.109.065748

Cite this

Gerhards, S. A. H., de Graaf, L. E., Jacobs, L. E., Severens, J. L., Huibers, M. J. H., Arntz, A., Riper, H., Widdershoven, G., Metsemakers, J. F. M., & Evers, S. M. A. A. (2010). Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial. British Journal of Psychiatry, 196(4), 310-318. https://doi.org/10.1192/bjp.bp.109.065748

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title = "Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial.",

abstract = "BackgroundEvidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236).AimsTo assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU.MethodCosts, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses.ResultsCosts were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT.ConclusionsOn balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.",

keywords = "ANXIETY, BASE-LINE, CLINICAL EFFECTIVENESS, COST-EFFECTIVENESS ANALYSIS, DISORDER, HEALTH SURVEY, INVENTORY-II, PHARMACOTHERAPY, PREFERENCE-BASED MEASURE, PSYCHOTHERAPY",

author = "S.A.H. Gerhards and {de Graaf}, L.E. and L.E. Jacobs and J.L. Severens and M.J.H. Huibers and A. Arntz and H. Riper and G. Widdershoven and J.F.M. Metsemakers and S.M.A.A. Evers",

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doi = "10.1192/bjp.bp.109.065748",

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Gerhards, SAH, de Graaf, LE, Jacobs, LE, Severens, JL, Huibers, MJH, Arntz, A, Riper, H, Widdershoven, G, Metsemakers, JFM & Evers, SMAA 2010, 'Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial.', British Journal of Psychiatry, vol. 196, no. 4, pp. 310-318. https://doi.org/10.1192/bjp.bp.109.065748

TY - JOUR

T1 - Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial.

AU - Gerhards, S.A.H.

AU - de Graaf, L.E.

AU - Jacobs, L.E.

AU - Severens, J.L.

AU - Huibers, M.J.H.

AU - Arntz, A.

AU - Riper, H.

AU - Widdershoven, G.

AU - Metsemakers, J.F.M.

AU - Evers, S.M.A.A.

PY - 2010/4

Y1 - 2010/4

N2 - BackgroundEvidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236).AimsTo assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU.MethodCosts, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses.ResultsCosts were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT.ConclusionsOn balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.

AB - BackgroundEvidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236).AimsTo assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU.MethodCosts, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses.ResultsCosts were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT.ConclusionsOn balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.

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KW - BASE-LINE

KW - CLINICAL EFFECTIVENESS

KW - COST-EFFECTIVENESS ANALYSIS

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KW - INVENTORY-II

KW - PHARMACOTHERAPY

KW - PREFERENCE-BASED MEASURE

KW - PSYCHOTHERAPY

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DO - 10.1192/bjp.bp.109.065748

M3 - Article

SN - 0007-1250

VL - 196

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EP - 318

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

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ER -